Chlamydia Flashcards
What is chlamydia (aetiology, RF)
Chlamydia trichomatosis- gram -ve parasite (cant see in microscope)
most common STI in UJ
women affects endocercix and urerthra, men only urethra
RF-multiple sexual partners, no barrier use, hx of STI, poor
sx and Ix of chalmydia
Sx - asymtomatic in 70% of women and 50% of men
Sx- purulent PV discharge, dyspareunia, IMB, PCB, abdo pain, dysuria
men get discharge and dysuria
Ix - (if suspicious, can treat without test)
Direct microscopy -nothing
1st - NAAT- men (urine/urethral swab), women -vulvovaginal/first catch urine
2nd 0 culture and sensitivities
Mx of chalmydia
can treat on suspicion alone before getting lab results back -
1st line Doxycycline 100mg BD for 7 days (contraindicatd preg/breast feeding)
2nd line- azythromycin 1g STAT
contact tracing, STI screen, avoid sex until end of treatment, follow up checkup after 5 weeks
Complications of Chlamydia
PID -up to 16% become PID -> causing adhesions, infertility, risk of ectopic
Fitz hgh curtiz syndrome (perihepatitis)- PID with adhesion to liver
reactive arthirits
pregancty issues
